Doctor Name: | ROBERT BAKER |
NPI Number: | 1508843129 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036058454 |
Business Practice Address: | 4160 Route 83 Suite 106 Long Grove, IL - 60047 |
Business Phone Number: | 8479551130 |
Business Fax Number: | 8479551132 |
Mailing Address: | 4160 Route 83, Suite 106 LONG GROVE |
State: | IL |
Postal Code: | 60047 |
Phone Number: | 8479551130 |
Fax Number: | 8479551132 |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084B0040X |
License Number: | 036058454 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Behavioral Neurology & Neuropsychiatry |
Taxonomy Definition: | Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |